Individual
MRS. ADELA ISABEL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPH
Contact information
Practice address
URB BRISAS DEL MAR, LUQUILLO, PR 00773
(787) 889-4880
(787) 889-0410
Mailing address
PO BOX 145, PALMER, PR 00721-0145
(787) 887-2805
(787) 887-2805
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
1025
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050502
REGISTRATION
PR
01
—
1025
PERMANENT LICENCE
PR
Enumeration date
02/02/2007
Last updated
07/08/2007
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